A drug is withdrawn from a client who has been taking it routinely for many years. The client has developed muscle tremors. How would the nurse characterize this event?
1. As an adverse effect
2. As evidence that the client had psychological dependence on the drug
3. As an expected therapeutic effect of no longer taking the drug
4. As an assessment finding associated with physical dependence on a drug
4
Rationale 1: Adverse effects are seen while the drug is being taken, not after it is withdrawn.
Rationale 2: With psychological dependence, few physical signs are seen.
Rationale 3: Therapeutic effects are seen while drugs are being used, not after they have been removed.
Rationale 4: The presence of physical withdrawal symptoms (muscle tremors) is seen when a person is physically dependent on a drug and the drug is removed.
Global Rationale: The presence of physical withdrawal symptoms (muscle tremors) is seen when a person is physically dependent on a drug and the drug is removed. With psychological dependence, few physical signs are seen. Therapeutic effects are seen while drugs are being used, not after they have been removed. Adverse effects are the seen while the drug is being taken, not after it is withdrawn.
You might also like to view...
A nurse is providing care to a client who is receiving NSAIDs. The nurse would be especially alert for which of the following? Select all that apply
A) Oliguria B) Dysuria C) Hematuria D) Glucosuria E) Polyuria
A patient drinks 8 ounces of juice with his meal. How many mL is this?
1. 80 mL 2. 800 mL 3. 260 mL 4. 240 mL
The client should be taught that when her infant falls asleep after feeding for only a few minutes, she should do which of the following?
a. Unwrap and gently arouse the infant. b. Wait an hour and attempt to feed again. c. Try offering a bottle at the next feeding. d. Put the infant in the crib and try again later.
A patient diagnosed with shock is prescribed dobutamine (Dobutrex). The nurse would evaluate which finding as indicating the medication has had the desired effect?
1. Increased cardiac output 2. Decreased temperature 3. Decreased respiratory rate 4. Decreased blood pressure